When a tight bra is worn, the area under the bra tends to bulge-out unattractively because the fat in this area is a single subcutaneous layer. Some females have a genetic tendency to collect more fat in the back area. With increasing obesity level the bra roll can accumulate so much fat that can create multiple rolls of fat. Removing the bra roll fat can be a challenging liposuction procedure because the fat issue is fibrous.
This procedure is popular among individuals who have localized fat in the upper and lower back. Liposuction of the back can decrease fullness in the upper and lower backs with reduction of subcutaneous fat and can result in skin retraction, particularly with PAL. Due to the thicker skin and more fibrous fat found in the upper back, more skin retraction results in the upper back than in the lower back. Liposuction of the back is a nice complement to abdominoplasty to achieve an overall improvement in contour of the torso. Liposuction of the upper and lower back secondarily unmasks and enhances the buttock region as well. The sacrum often has a fatty deposit that responds well to liposuction and also helps contour the buttock.
Liposuction of the female back can dramatically improve female shape. There are several different major fat areas in the back:
Upper back – It is often called the buffalo hump and is on the upper back near the neck.
Mid back – Infra-scapular fat (female flanks) is often called the bra roll. It is located between the waist and the shoulder blades.
Posterior axillary – It is located on the upper-outer back near the armpit.
Franks – Posterior waist fat is located above and posterior to the hips.
Lower back – Lumbo-sacral fat pad is located in midline of the lower back, just above the tailbone.